National Provider Identifier [NPI]: |
1134118789 |
Last Name Of The Provider |
ARNAUTOVIC |
First Name Of The Provider |
KENAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6325 HUMPHREYS BLVD |
Street Address 2 Of The Provider |
SEMMES-MURPHEY CLINIC |
City Of The Provider |
MEMPHIS |
Zip Code Of The Provider |
381202300 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurosurgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
110 |
Number Of Services |
1400 |
Number Of Medicare Beneficiaries |
400 |
Total Submitted Charge Amount |
1160417.8 |
Total Medicare Allowed Amount |
261808.28 |
Total Medicare Payment Amount |
199891.32 |
Total Medicare Standardized Payment Amount |
230437.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
56 |
Number Of Medicare Beneficiaries With Drug Services |
45 |
Total Drug Submitted ChargeAmount |
7982 |
Total Drug Medicare AllowedAmount |
107.06 |
Total Drug Medicare PaymentAmount |
81.27 |
Total Drug Medicare Standardized Payment Amount |
81.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
108 |
Number Of Medical Services |
1344 |
Number Of Medicare Beneficiaries With Medical Services |
400 |
Total Medical Submitted Charge Amount |
1152435.8 |
Total Medical Medicare Allowed Amount |
261701.22 |
Total Medical Medicare Payment Amount |
199810.05 |
Total Medical Medicare Standardized Payment Amount |
230356.14 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
118 |
Number Of Beneficiaries Age 65 to 74 |
173 |
Number Of Beneficiaries Age 75 to 84 |
79 |
Number Of Beneficiaries Age Greater 84 |
30 |
Number Of Female Beneficiaries |
241 |
Number Of Male Beneficiaries |
159 |
Number Of Non Hispanic White Beneficiaries |
286 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
284 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
116 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
1.4509 |